Economically Motivated Relationships and Transactional Sex among Unmarried African American and White Women: Results from a U.S. National Telephone Survey

Dunkle, Kristin; Wingood, Gina M.; Camp, Christina; DiClemente, Ralph J.

doi:10.1177/00333549101250s413

Cited by 102 publications

(88 citation statements)

References 45 publications

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“…In a recent national study of trends of sexually transmitted diseases, 7% of African American women reported having been treated for an STI in the past year, although 16.6% of women in our study reported an STI in the past year (Chandra, Billioux, & Copen, 2012). Another study noted that 13.1% of African American women in the United States reported having engaged in transactional sex (Dunkle, Wingood, Camp, & DiClemente, 2010); however, 21.2% of our study population reported engaging in transactional sex in the past year.…”

Section: Resultscontrasting

confidence: 70%

The Girlfriends Project: Results of a Pilot Study Assessing Feasibility of an HIV Testing and Risk Reduction Intervention Developed, Implemented, and Evaluated in Community Settings

Hawk¹

2013

AIDS Education and Prevention

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Section: Resultscontrasting

confidence: 70%

The Girlfriends Project: Results of a Pilot Study Assessing Feasibility of an HIV Testing and Risk Reduction Intervention Developed, Implemented, and Evaluated in Community Settings

Hawk¹

2013

AIDS Education and Prevention

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“…18,28 Often, circumstances of poverty and low education lead black women to be overly dependent on male partners, resulting in the use of sex as a survival mechanism. 29 In the case of female crack/ cocaine users and IDUs, sex in exchange for money or drugs is not uncommon. 18 Frequently, transactions of this nature neglect condom use primarily because of substance use intoxication 15,18 or lack of negotiating power on the part of the female user.…”

Section: Status and Support Losses In The Sexual Revolution: Diminishmentioning

confidence: 99%

Social Determinants of HIV/AIDS and Sexually Transmitted Diseases Among Black Women: Implications for Health Equity

Sharpe

Voûte

Rose

et al. 2012

Journal of Women's Health

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Recent epidemiologic reports show that black women are at risk for HIV infection and other sexually transmitted diseases (STDs). In this report, we go beyond race and consider a number of social and economic trends that have changed the way many black women experience life. We discuss poverty, loss of status and support linked to declining marriage participation, and female-headed single-parent household structure-all of which influence sexual risks. We also discuss the Centers for Disease Control and Prevention-led national efforts to advance consideration of social determinants of health (SDH) and promotion of health equity in public health activities that may have impact on black and other women.

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“…Among adults, a recent study of adult African-American and white women found that 13% engaged in any exchange sex and 33% had maintained a sexual relationship for economic reasons. 11 Of the studies on the association between exchange sex and HIV infection in the United States, most have investigated drug users only. In 1994, Edlin et al 12 found nearly a 14-fold likelihood of sex exchange among women who had smoked crack, and Astemborski et al 13 observed a high prevalence of exchange sex among female injection drug users (IDUs).…”

Section: Introductionmentioning

confidence: 99%

Patterns of Exchange Sex and HIV Infection in High-Risk Heterosexual Men and Women

et al. 2011

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Heterosexual partnerships involving the trade of money or goods for sex are a well-described HIV risk factor in Africa and Southeast Asia, but less research has been conducted on exchange partnerships and their impact on HIV infection in the United States. In our study, men and women were recruited from high-risk risk neighborhoods in New York City through respondent-driven sampling in 2006-2007. We examined the factors associated with having an exchange partner in the past year, the relationship between exchange partnerships and HIV infection, and the risk characteristics of those with exchange partners by the directionality of payment. Overall, 28% of men and 41% of women had a past-year exchange partner. For men, factors independently associated with exchange partnerships were older age, more total sexual partners, male partners, and frequent non-injection drug use. For women, factors were homelessness, more total sexual partners, more unprotected sex partners, and frequent non-injection drug use. Exchange partnerships were associated with HIV infection for both men and women, although the relationships were substantially confounded by other behavioral risks. Those who both bought and sold sex exhibited the highest levels of risk with their exchange and non-exchange partners. Exchange partnerships may be an HIV risk both directly and indirectly, given the overlap of this phenomenon with other risk factors that occur with both exchange and non-exchange partners.

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Economically Motivated Relationships and Transactional Sex among Unmarried African American and White Women: Results from a U.S. National Telephone Survey

Cited by 102 publications

References 45 publications

The Girlfriends Project: Results of a Pilot Study Assessing Feasibility of an HIV Testing and Risk Reduction Intervention Developed, Implemented, and Evaluated in Community Settings

The Girlfriends Project: Results of a Pilot Study Assessing Feasibility of an HIV Testing and Risk Reduction Intervention Developed, Implemented, and Evaluated in Community Settings

Social Determinants of HIV/AIDS and Sexually Transmitted Diseases Among Black Women: Implications for Health Equity

Patterns of Exchange Sex and HIV Infection in High-Risk Heterosexual Men and Women

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